Job Description

Clinical Reviewer RN (School Based Programs) - 247884

Job Title: Clinical Reviewer RN (School Based Programs)

Hours: 40 hours a week between 7:30am-5:30pm

Background: Must have strong clinical background in maternal health, NICU, OBGYN, L&D, Pediatrics. Must have strong writing skills.

Pay: $50.00/hr - $53.00/hr (base pay range)

Location: 90% remote, 10% field. Will travel to schools in NYC (5 boroughs), Long Island, or Westchester, NY. DO NOT apply if you live out of New York state.

On average, will have 25 site visits over the course of a year (typically 1 day, a few hours per case; rest of the time remote). This program audits school?based maternal/child health programs and family planning clinics, reviewing documentation, medical records, and providing written clinical summaries to boards of review and governing bodies.

Duties

• Completes all pre?review activities, including review of previous monitoring information and review of program documentation submitted.
• Completes hybrid monitoring activities, including review of patient records and billing, for all required components and time frames.
• Conducts site observation and staff interviews, noting any deficiencies.
• Provides technical assistance to program personnel, when appropriate.
• Completes data management tools to draft provider monitoring reports in accordance with monitoring findings.
• Tracks status of documents and reviews in databases and other shared platforms.

Qualifications

• Ability to work independently and in a team environment, prioritizing reviews and projects to be completed.
• Strong analytical and communication skills (both written and verbal) and ability to gather and analyze information from records, reports, and other sources.
• Proficient in the use of standard office technology and basic Microsoft applications including Word, Excel, and Teams.

Education & Experience

• Qualified and actively credentialed/registered in New York State.
• A minimum of four years of clinical practice experience in pediatric/adolescent/reproductive health care.
• A minimum of two years of experience reviewing charts for the purpose of quality improvement or utilization review.

Seniority Level

Mid?Senior level

Employment Type

Full?time

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